2009, Number 4
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ABSTRACTObjective. To determine whether hypertension (HTA) is an independent predictor of depressive symptoms (DS) in a sam ple of elderly Mexican community dwelling persons. Material and methods. Two year longitudinal study of 3,276 com munity dwelling persons aged 60 years and older, participa ting in the Mexican Health and Aging Study. Subjects that self reported both having or not having HTA while denying DS at baseline were included. Two year follow up data were analyzed, and multiple regression analyses were used to test whether HTA is an independent predictor of incident DS after adjusting for many potential confounders. Results. Mean age of participants was 68.4 ± 6.9 years. Prevalence of HTA was 36.6%. At follow up, 28.7% developed DS. After adjusting for multiple covariates (age, sex, education level, relationship status, self reported health and economic status, diabetes, ar thritis, stroke, ischemic cardiopathy, falls, pain, hearing im pairment, visual impairment, urinary incontinence, cognitive impairment, smoking, alcohol use, and baseline disability), HTA was an independent predictor of DS at two years follow up (Adjusted Odds Ratio = 1.18; 95% confidence interval = 1.01 1.40). Conclusions. Hypertension is an independent risk factor for the development of depressive symptoms. Pro grams to support early treatment of cardiovascular disease and hypertension should be implemented in order to prevent late onset of depressive symptoms.
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